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What is the Difference Between Ultherapy and Thermage?

What is the Difference Between Ultherapy and Thermage?

Doctor Answers (4)

Thermage vs. Ultherapy

+1

Both devices can cause collagen formation in the dermis to help tighten the facial features. Thermage has applicators that are very small for use on eyelid skin and large ones for body sites such as arms, legs and abdomens. Its medium applicator is used for the face.  Ultherapy has smaller and medium applicators but off facial sites are off-label and studies are ongoing.  Thermage uses radiofrequency energy and Ultherapy uses focused deep ultrasound energy. Both hurt but the discomfort is over when the energy is stopped from being delivered.  These non-invasive techniques can help rejuvenate the skin tone but are not expected to give the same result as a facelift.  They also do not improve the skin surface so don't expect wrinkles to be better. Overall, we have had higher patient satisfaction with improvement in facial jowl lifting, cheek lifting, forehead lifting and neck lifting with Ultherapy than Thermage. I still find Thermage very useful on the loose skin of abdomens and the loose skin of thighs.


Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

Ultherapy versus Thermage

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Thank you for your question. Ultherapy and Thermage both work to stimulate collagen to create lifting and tightening of the skin. Ultherapy uses ultrasound technology, whereas Thermage uses radiofrequency. 

Daniel Shapiro, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 100 reviews

They are both used for non surgical skin tightening but use different forms of energy

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Ulthera uses focused ultrasound to treat deep skin and the superficial facia of the muscles of the face.  Thermage uses radiofrequency to heat up the deep skin.  Thermage has been around since 2002 and ulthera since 2009.  I have involved in clinical trials for both procedures from early on.  In my experience, it appears that ulthera gives more reproducible results than thermage.

Cameron Rokhsar, MD
New York Dermatologic Surgeon
4.5 out of 5 stars 32 reviews

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What is the Difference Between Ultherapy and Thermage?

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Both treatments are designed to do the same thing, which is to non-invasively heat the skin to stimulate new collagen production.  Ultherapy use ultrasound to deliver the energy, Thermage uses radiofrequency.  It is not important to understand the physics of how these two devices differ.  What is important is how effective the devices are in stimulating new collagen and giving an acceptable result.  On RealSelf, Ultherapy has a worth it rating of 81%, Thermage 39%.  This is why we don't have Thermage in our office.

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.